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Get LA DEQ Waste Tire Generator Notification Form 2007

E is required. Forms completed in pencil will not be accepted . Original form must be mailed to the department. A separate form must be completed for each facility/location. RETURN COMPLETED LDEQ Financial Services Divison FORM TO: Post Office Box 4303 Phone: (225) 219-3863 Baton Rouge, LA 70821-4303 DEQ Facility NO: R- DEQ Account NO: Agency Interest NO: I. WT - (Please provide numbers unless this is for a first-time applicant) Type of Application (Completion of this section is mand.

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